Meter Swap r
�
Request Number: 15182
Public works Division
Service Request
Probtem Address: 7055 East Ri�er Rd Requested By: Dan Seakam�p
Depxrtment: WA1ER Addreas: No address provided
Problem/Isaue: INSTALL AMR METER P��Number: 5'12-2583
Scheduled e: 2017-OS-10 Sehe�ded 1lme: 01:00:00
O' ' M
AC'IION NEEDED:
Crested by: Wendy Hiatt Date Created: 2017-OS-08
AC'IION TA[�N:
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____...___.ti �_._________.....__..____._ ____.�.__._.._....��
Statua: In Prog�ess Sabmitter I�Been r
Contacted
DateCompieted: � �/� � Completedby
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City of Fridle �v � ��"`" 7
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Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�lWe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and alf iriterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages tbat may ocwr while doing this
operation. This to include,but not limited to vahres,piping,walls,floors or the curb stop box and service line. In understand i am also required
to obtain a permft prior to any work,if necessary.
FINAL METER READfNG(old meter) � ��Y%`� ��
/�j y� �.
Name: ��GI, (ii, Address _ �U �`J� �-�llJ2'.r' �-
Phone Number ��U`v o�� U ✓ Date � `�V � ��
Signature Witness Signature
OlD METER# ��0"�� t ���
OLD READING ����G tiQ ��
NEW METER# t l V� � �,� v -
NEW READ{NG �
ERT# � ��oC d i � �
FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
A02.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line con�eding Che existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connecCion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such cannection has been made,the Water and Sewer Department shall be�otified. It shall be unlawful to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AfYD MAINTENANCE TO CONNECTION
ARer the initia�connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connect'son,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for wn�ection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs af the mairitenance andJor
repairs,including necessary street repairs at a rate set annuaNy by an administrative policy. It shali be the responsibility of�e appitcant,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main inciuding debris ciearing or
root cutting and to maintaia the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade o�f the land or property. (Ref 638,1156,1191)